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HomeMy WebLinkAbout2814 RANCHO PANCHO; ; CBR2017-0044; PermitPrint Date: 01/19/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2814 Rancho Pancho BLDG-Residential 2225911600 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: GELDNER: REPLACE WATER HEATER IN SAME LOCATION Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-0044 Closed -Finaled 01/06/2017 01/06/2017 TRUSTGELDNER TRUST 01-27-09 2814 Rancho Pancho CALIFORNIA DELTA MECHANICAL INC. CARLSBAD, CA 92009 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 6056 E Baseline Rd, 155 Mesa, AZ 85206-4803 480-898-0007 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. --------·--------------------- $98.00 $0.00 JAN/04/2017/WED 01: 14 PM FAX No. P. 002 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNINO 0 ENGINEERING □BUILDING QFIRJS QHEALit-1 0 HAZMATIAPCD Ccityof Building Permit Application PlanCheckNo.C~ll -00 1635 Faraday Ave., Ca~sbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Peppsit email: building@carlsbadca.gov www.ca.rlsbadca.gov Date I ( lo\ \"1 /SWPPP JOB: A.DDR!iSS SUITI:#/.SPAC'Ef'/tlNIU· r-222 2614 Rancho Pancho -591 -16 . 00 CT/PROJf:c:T ~ llOH l ""· 1· '"" I.,, aro ........ ~~ # BP,1'HFIOOM5 ITJ;.NANT8USI l CO~Tfs. TYPE I ... ~~-~~ ...... ,. --·· • ,m: ..... & :,quare FHt of AmH:l"ed Area(:!!,) Install Gas Tank Water Heater• Change Out -Same Location EXISTINO USE I PIU)l'OSED USE rARAGE (SFJ PATIOS (SF) l DECKS (SF) FIR~:PlACE. IA!RGONDrTluNING I P1AESPRINKL..ERS SFR YES0, NcCJ YES0No □ YES□NoO APPLICANT NAME stephen Fiore F'li:OF'~fl'r1'0WNER NA.ME Tom Geidner ' -' ~Olltn,:;t ADDRESS ADDRESS 6056 E Baseline Road Suite 155 2814 Rancho Pancho CITY STATE ZIP CITY STATE ZIP Mesa AZ. 85206 Carlsbad CA 92009 PHONE I'"" PHONE I"'' (8661 692-5273 (8661 692-5275 (8581 610-9020 EMAIL EMAIL capermits@deltamechanical.com DESIGN PROFESSIONAL CONTRACTOR BUS. NA.ME: California Delta Mechanical ADDRESS ADDRESS 6056 E Baseline Road Suite 155 CITY STATE ~, CITY STATE ZIP Mesa AZ. 85206 PHONE I'"" PHONE 1""' (8661 692-5273 (666) 692-5275 !:'.MAIL EMAIL capermits@deltamechanical.com TSTATEUC.ll l;TP,TE ~IQ.1/" 1"-"" I Cm'"'' uc1214281 811114 C36 (Saa. 7031.5 BusmeK>li and Profeoi,JOna Cede: Any crw or County which require~ e permit to construct. alter, 1mprow, damol1sh or repair any strucwre. prwto ,tis. lSS.U.!mc.;, also requires the app!ica:nt for such parmtt to file s siened statement tf\at he ls licensed l'.)Ursuarlt: to th& provisions of the Contractor's Uce11ste LE.w ic:ti:::ipter S, comm(mdlng wt1:h Section 7000 of DivSlon S al' the BusInaS!I and Professions Code} or that he I~ exemi;>ttllerefrom, end the basis fur the alleged e;,i;amptlan. Ariy vloletJon rn'seotlQl"l 1031,5 by ;my ;1.pplic;mt·fura permit subJecl::9 t.l'IEI appll~ntto a clvll pene.1tyot not more thti/1 rrve ht,.11'\0red <IOlltirs [$500}), Workens' Compoo'liilltion Declaration: I hsraby affirm vnderpendyofpe1ft.xyone of~ ro!JowlnQ dectaratloi'ls; D I ha.11& and wiD maintain a -:artific1te cf com1entto i;elf-inaun. forWQri(ers' oompe11$aUon as pro'lldGd by Section 3700 of the Labor Code, for the performani,e ot the work 1or which \hi:; permit li!i i6&ued. [ZI r have end wiU miinta.in ffllrkn' ~omp1J£1&ation, as requitld bv Se<:tkin 3700 of tile ~bor Co\W, for ths performam;e of the work ror which this p(lfrr,~ le l~wed, My workers' comP'}llsaticn irn;uram:e camtlr Bnd POiicy number 0re: lnsur.:ince Co. Berkshire Ha.ttiawll!( 1-1.omestue lne, Co, Pclii:y No. DEWC70586:2 EKPirali□n Date 04121/2017 Thia saciion n~d not be completecl if tilt l)erm~ Is for one hundred dollars ($1 IJIJJ or lss.s. 0 CertjHc11~ &fEx:e111pt.lon~ I certify ~tin !he per1orrnance-Of Iha work "kir wftich lhi5 permit is issued, I shall not employ ~Y persoo In any m~r'll'if so as lo bBCOIT16 wt;ect lo ihB Workers' Compeii$atl:ifl Laws. of ~~ml.i, WARNING; f;!ilul't to leet.u'O workllni;' ~mpmu;atiorl coY11r11.g11 111 unllrwfu(, and. !!hall !l~b)e~l an empll)y&rto i:;riminal p11maltisr; and civil fines up to one hundred tho11$1.nd dolli\Ni {&100,000), in ~ddition ro thecoslofi:;ompenfftion,damagesc111 rovlded for In Secllan 3708 of the l.tbOtC¢dt, i~tni.t Md ilttDmey'e f&e&, ~ CONTRACTOR SIGNATURE I hereby sfflrm that I am EWJmpt from Comrador'a Uc~ns6 Ltiw for the fo/Jowlng reBSOn; D I, as owner o( the property or my etr(llo:;eus Wfttl wag8S ai. their &Ole 11Dmpenaation, will 00 tll!'l won(, 1;111d t~ st11JC1Ure Is not ir1teitd8d or otrerad for sale (Sec. 7044. Businee.11 (:Ind Professlon.s Code: lM Coi"llrador'~ License Law doe!. 001 ;;1ppJy to an 0W11erof p~ who t:.Jilds or impruves th9f8□n, and who rloet!;I aui,ii 11,(lf"k, hirruj.elf or t~roug~ hi!. own employeliS, proYided that such improvern&nt8 ~ not intended or Offer81:1 tir eale. If, tlQwever, the bulldlng or lmprovenient I$ oold within OM ysarcrf completion, the owner-builderwi/ have lhe burdet1 of proving that hfr did not buid □r in-prove for the purpoi.e of 11.1;1le) □ □ I, as owrmof Ille prop arty, Bm &Xelusively oontrect;ing with ri~nsed oontrootors iO eonsU'l.Jct the pro Jee! (Soo, 7044, 8u&imi.s5 and Protaseions Code: The Contractor's Llcen~ law does not apply to an own91" of property who buildi; or improveli thertmn, end coob-ecl<; for such projects with contr.ic~(s) llce11sed pu!'liuanl to tl111 Contraclo!'li LicBnBll Lew). I am exempt undef $ecijon ____ Business and Profsssiom; Code furihis rea~n: 1. I pqrson.ily plen to proYide the major labor and meleriala for cOOBtn;c~on of the proposed property lmprov-Gmenl 0Yai; 0No 2. I (h3\/t! I h.we ool) slgne<f .in appllcatton fOr' a buioin11 permit fur 117B propo!ied worlc. 3. I have rontracted wi1h the followii,a peraon (firm) to pro.1de the proposed C011$lr1JC!i(ln ~n~tude name address I phone/ c:onlracto111' license number}: 4. I D(.eln to pro~lde portions oflhe woric. hut I hevs hi1'8d the followllQ person to coordinel!:!, 11uperv~ and provide the major work Dnelud11 nama I eddrass I phonB I oonlra:(ora' lil::enee number): 5. I will provfde some of the IIXlrk, but I have conl~tl:!d (~lre<J) the foll~r.g persons to provids ltle work indicated (include nemB I addreeg I phone/ type ofworli): ,,I/$ PROPERTY OWNER SIGNATURE OATO . ·-· ·--··-•--~----- JAN/04/2017/WED 01: 15 PM FAX No. P. 003 I certify 1hatl nave reaa 1tle appliOOtion and 6!.ilD that the sbave 1'1~ b correct and that the lnfOm,atitln on the plsn5 ls aoouri:i1e-I agree ID comply'ltilh an Cff)t ordi!"Bn!Bi Md State lsws rele~rJS t.o .bulldlng oonstructron. I hereby aliholize representattva of'lh8 ClyClrCat.ba,11 to en(en1p011 tne above men!KJood Pft1)ertyfor~edian purpases. I ALSO AGREE TO SAVE, NJEMNIN ANO KEEP HARM..ESS THE CITY OF CAPJ..SBAD AG4.INST ALL IJABLlflES, JUD3f\/ENTS, COSTS AND EXPB'ISES ~ICH MAY JN ANYWAY ACCRUE AGAINST ~D CITY IN CONSEQUENCE OF THE GRANThlG OPTH!S PERMIT. OSHA: AA OSHA pemit is req1.1ired fur excawlian.s wer 5'0' deKlp and d9tfldiicn or cansln.Jction ,;;f slruottres 0\181" 3 Sfllrl8s rt Mlghl EXPIRATION: 8/ety pgnnltlssuQ'.J tiylhe Buildrtg ~11,Jlder lhe provi:!.iOlls aflli; Code shal G1:pire by Im~ and become nu I 81ld vd.d b'lhG lxlicllng <:N' work. autt,ortzed by i;;uoh perrrrt la n!t:coounenced wltlln HIO dl!)'S from ttie dale of such pem1ltorrtl1e buldir'lg crwm. authorized by !SL.di permi is suspended or a~ndllned atillY iji,e &lrerh Wilt is commenced fcl a par1rrl of 180 dajs (Section 1004.41..Wfonn Etiiding Code} . ..@S' APPLICANT'S SIGNATURE ~ DATE //I// /9 '' PERMIT INSPECTION HISTORY REPORT (CBR2017-0044) ' Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Issued -Active Actual Start Date Inspection Type Application Date: 01/06/2017 Owner: Issue Date: 01/06/2017 Subdivision: Expiration Date: 07/05/2017 Address: IVR Number: 1323 Inspection No. Inspection Status Primary Inspector 01119/2017 01/1912017 BLDG-25 Water HeaterNents 010116-2017 Passed Paul Burnette January 21, 2017 BLDG-Final Inspection Checklist Item BLOG-Building Deficiency 010117-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final COMMENTS Passed Paul Burnette COMMENTS TRUST GELDNER TRUST 01-27-09 2814 Rancho Pancho Carlsbad, CA 92009 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of1 '